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Can Some Gay Men and Lesbians Change Their Sexual Orientation? 200 Participants Reporting a Change from Homosexual to Heterosexual Orientation

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Abstract

Position statements of the major mental health organizations in the United States state that there is no scientific evidence that a homosexual sexual orientation can be changed by psychotherapy, often referred to as “reparative therapy.” This study tested the hypothesis that some individuals whose sexual orientation is predominantly homosexual can, with some form of reparative therapy, become predominantly heterosexual. The participants were 200 self-selected individuals (143 males, 57 females) who reported at least some minimal change from homosexual to heterosexual orientation that lasted at least 5 years. They were interviewed by telephone, using a structured interview that assessed same sex attraction, fantasy, yearning, and overt homosexual behavior. On all measures, the year prior to the therapy was compared to the year before the interview. The majority of participants gave reports of change from a predominantly or exclusively homosexual orientation before therapy to a predominantly or exclusively heterosexual orientation in the past year. Reports of complete change were uncommon. Female participants reported significantly more change than did male participants. Either some gay men and lesbians, following reparative therapy, actually change their predominantly homosexual orientation to a predominantly heterosexual orientation or some gay men and women construct elaborate self-deceptive narratives (or even lie) in which they claim to have changed their sexual orientation, or both. For many reasons, it is concluded that the participants' self-reports were, by-and-large, credible and that few elaborated self-deceptive narratives or lied. Thus, there is evidence that change in sexual orientation following some form of reparative therapy does occur in some gay men and lesbians.

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REFERENCES

  • Adams, H. E., & Sturgis, E. T. (1977). Status of behavioral reorientation techniques in the modification of homosexuality: A review. Psychological Bulletin, 84, 1171–1188.

    Google Scholar 

  • American Academy of Pediatrics. (1983). Policy statement: Homosexuality and adolescence. Pediatrics, 92, 631–634.

    Google Scholar 

  • American Counseling Association. (1998). Resolution adopted by the Governing Council of the American Counseling Association: On appropriate counseling responses to sexual orientation. Available upon request from the American Counseling Association.

  • American Psychiatric Association. (1999). Position statement on psychiatric treatment and sexual orientation. American Journal of Psychiatry, 156, 1131.

    Google Scholar 

  • American Psychiatric Association. (2000). Position statement on therapies focused on attempts to change sexual orientation (reparative or conversion therapies). American Journal of Psychiatry, 157, 1719–1721.

    Google Scholar 

  • American Psychological Association. (1997). Resolution on appropriate therapeutic responses to sexual orientation. Retrieved January 23, 2003, from http://www.apa.org/pi/sexual.html

  • Barlow, D. H., & Agras, W. S. (1973). Fading to increase heterosexual responsiveness in homosexuals. Journal of Applied Behavior Analysis, 6, 355–366.

    Google Scholar 

  • Baumeister, R. F. (2000). Gender differences in erotic plasticity: The female sex drive as socially flexible and responsive. Psychological Bulletin, 126, 347–374.

    Google Scholar 

  • Beckstead, A. L. (2002). Cures versus choices: Agendas in sexual re-orientation therapy. Journal of Gay and Lesbian Psychotherapy, 5, 87–125.

    Google Scholar 

  • Berger, J. (1994). The psychotherapeutic treatment of male homosexuality. American Journal of Psychotherapy, 48, 251–261.

    Google Scholar 

  • Bieber, I., Dain, H. J., Dince, P. R., Drellich, M. G., Grand, H. Gundlach, R. H., et al. (1962). Homosexuality: A psychoanalytic study of male homosexuals. New York: Basic Books.

    Google Scholar 

  • Bieschke, K. J., McClanahan, M., Tozer, E., Grzegorek, J. L., & Park, J. (2000). Programmatic research on the treatment of lesbian, gay, and bisexual clients: The past, the present, and the course for the future. In R. M. Perez, K. A. DeBord, & K. J. Bieschke (Eds.), Handbook of counseling and psychotherapy with lesbian, gay, and bisexual clients (pp. 309–335). Washington, DC: American Psychological Association.

    Google Scholar 

  • Callahan, E. J. (1976). Covert sensitization for homosexuality. In J. Krumboltz & C. E. Thoresen (Eds.), Counseling methods (pp. 234–245). New York: Holt, Rinehart and Winston.

    Google Scholar 

  • Diamond, L. (2003). Was it a phase? Young women's relinquishment of lesbian/bisexual identities over a 5-year period. Journal of Personality and Social Psychology, 84, 352–364.

    Google Scholar 

  • Drescher, J. (2001). Ethical concerns raised when patients seek to change same sex attractions. Journal of Gay and Lesbian Psychotherapy 5, 181–210.

    Google Scholar 

  • Ellis, A. (1959). A homosexual treated with rational psychotherapy. Journal of Clinical Psychology, 15, 338–343.

    Google Scholar 

  • Forstein, M. (2001). Overview of ethical and research issues in sexual orientation therapy. Journal of Gay and Lesbian Psychotherapy, 5, 167–180.

    Google Scholar 

  • Freeman, W., & Meyer R. G. (1975). A behavioral alteration of sexual preferences in the human male. Behavior Therapy, 6, 206–212.

    Google Scholar 

  • Friedman, R. C., & Downey J. C. (2002). Sexual orientation and psychoanalysis: Sexual science and clinical practice. New York: Columbia University Press.

    Google Scholar 

  • Goetze, R. (2001). Homosexuality and the possibility of change: An ongoing research project. Retrieved October 16, 2002, from http://www.newdirection.ca/research/index.html

  • Golwyn, D. H., & Sevlie, C.P. (1993). Adventitious change in homosexual behavior during treatment of social phobia with Phenelzine. Journal of Clinical Psychiatry, 54, 39–40.

    Google Scholar 

  • Gonsiorek, J. (1982). The use of diagnostic concepts in working with gay and lesbian populations. Journal of Homosexuality, 7, 9–20.

    Google Scholar 

  • Hadden, S. B. (1966). Treatment of male homosexuals in groups. International Journal of Group Psychotherapy, 17, 13–22.

    Google Scholar 

  • Hadfield, J. A. (1958). The cure of homosexuality. British Medical Journal, 58, 1323–1326.

    Google Scholar 

  • Haldeman, D. C. (2001). Therapeutic antidotes: Helping gay and bisexual men recover from conversion therapies. Journal of Gay and Lesbian Psychotherapy, 5, 117–130.

    Google Scholar 

  • Hatterer, L. J. (1970). Changing homosexuality in the male. New York: McGraw-Hill.

    Google Scholar 

  • Isay R. A. (1996). Becoming gay: The journey to self-acceptance. New York: Pantheon.

    Google Scholar 

  • Kitzinger, C., & Wilkinson, S. (1995). Transitions from heterosexuality to lesbianism: The discursive production of lesbian identities. Developmental Psychology, 31, 95–104.

    Google Scholar 

  • Liss, J. L., & Welner, A. (1973). Change in homosexual orientation. American Journal of Psychotherapy, 27, 102–104.

    Google Scholar 

  • MacIntosh, H. (1994). Attitudes and experiences of psychoanalysts in analyzing homosexual patients. Journal of the American Psychoanalytic Association, 42, 1183–1207.

    Google Scholar 

  • Mahoney, M. J. (1991). Human change processes: The scientific foundation of psychotherapy. New York: Basic Books.

    Google Scholar 

  • Masters, W. H., & Johnson, V. E. (1979). Homosexuality in perspective. Boston: Little, Brown.

    Google Scholar 

  • McCrady, R. E. (1973). A forward-fading technique for increasing heterosexual responsiveness in male homosexuals. Journal of Behavior Therapy and Experimental Psychiatry, 4, 257–261.

    Google Scholar 

  • Mintz, E. E. (1966). Overt male homosexuals in combined group and individual treatment. Journal of Consulting Psychology, 30, 193–198.

    Google Scholar 

  • Murphy, T. F. (1992). Redirecting sexual orientation: Techniques and justifications. Journal of Sex Research, 29, 501–523.

    Google Scholar 

  • National Association of Social Work. (1997). Social work speaks: National Association of Social Workers policy statements (4th ed.). Washington: NASW Press.

    Google Scholar 

  • Pattison, E. M., & Pattison, M. L. (1980). “Ex-gays”: Religiously mediated change in homosexuals. American Journal of Psychiatry, 137, 1553–1562.

    Google Scholar 

  • Poe, J. S. (1952). The successful treatment of a 40-year old passive homosexual based on an adaptational view of sexual behavior. Psychoanalytic Review, 39, 23–33.

    Google Scholar 

  • Shechter, R. A. (1992). Treatment parameters and structural change: Reflections on the psychotherapy of a male homosexual. International Forum of Psychoanalysis, 1, 197–201.

    Google Scholar 

  • Shidlo, A., & Schroeder, M. (2002), Changing sexual orientation: A consumers' report. Professional Psychology: Research and Practice, 33, 249–259.

    Google Scholar 

  • Socarides, C. W. (1978). Homosexuality. New York: Jason Aronson.

    Google Scholar 

  • Spanier G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 15–28.

    Google Scholar 

  • The Surgeon General's call to action to promote sexual health and responsible sexual behavior. (2001). Retrieved October 16, 2002, from http://www.surgeon general.gov/library/sexualhealth/call.htm

  • Throckmorton, W. (2002). Counseling practices as rated by clients seeking sexual reorientation counseling. Manuscript submitted for publication.

  • van den Aardweg, G. J. M. (1986). On the origins and treatment of homosexuality. Westport, CT: Praeger.

    Google Scholar 

  • Wolpe, J. (1969). The practice of behavior therapy. New York: Pergamon Press.

    Google Scholar 

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Correspondence to Robert L. Spitzer.

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Spitzer, R.L. Can Some Gay Men and Lesbians Change Their Sexual Orientation? 200 Participants Reporting a Change from Homosexual to Heterosexual Orientation. Arch Sex Behav 32, 403–417 (2003). https://doi.org/10.1023/A:1025647527010

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